Covered California’s Quality and Delivery System Reform Strategy Webinar
Health plan contract changes, payment strategies, quality measures

Webinar Recorded Live June 29, 2016


The imperative to achieve the triple aim has never been greater. Fee-for-service payment structures are giving way to new payment models based on quality and performance by health care providers.

Covered California is at the forefront of these efforts. Recent Covered California contract changes now include provisions that may exclude providers who cannot meet accelerating quality and performance standards of care.

Gather your executive teams together to learn what’s at stake and how to achieve success in this changing environment of care.

Recommended for:

Chief executive officers, chief operating officers, chief financial officers, chief medical officers, managed care directors, chief nursing officers, quality and patient safety directors, and performance improvement directors. 


California’s Progress

  • ACA implementation
  • Partnering with Covered California

Covered California’s Core Building Blocks for Improving Quality and Lowering Costs

  • Covered California’s efforts to promote the triple aim
  • Reducing health disparities and promoting health equity
  • Development and use of new care models

2017 Qualified Health Plan Contract Quality Reform Modifications

  • Alignment of CMS and Exchange strategies
  • Major provisions of Attachment 7, what hospitals need to know
  • Payment strategies promote quality and safety performance
  • Hot spots, including the appropriate use of C-sections

Understanding and Improving Quality Measures

  • Important quality measures to know, how to prepare
  • Partnerships with Hospital Quality Institute, California Maternal Quality Care Collaborative and Patient Safety First; helpful resources and tools


Lance Lang, MD, FAAFP, serves as chief medical officer of Covered California, the state health benefits exchange. In addition to his role with Covered California he also holds an appointment Clinical Professor of Family and Community Medicine at UCSF. From 2010 – 2015, Dr. Lang served as clinical director for the California Quality Collaborative (CQC). His work at CQC included leading an Advanced Primary Care Practice Coaching Collaborative and serving as a coach in the hospital safety program, Partnership for Patients, sponsored by the CMS Innovation Center. Dr. Lang has served as chair of the Physician Advisory Committee for two California HealthCare Foundation projects and as national vice president and clinical quality officer for Health Net, Inc. from 2000 to early 2009.

David Perrott, MD, DDS, FACS, is senior vice president and chief medical officer of the California Hospital Association. Dr. Perrott’s responsibilities include all clinical issue areas, including the Center for Hospital Medical Executives, California Alliance of Hospital-Physician Organizations, and the Certification and Licensing Committee. Dr. Perrott is also board chair of the Hospital Quality Institute and a member of The Joint Commission (TJC) Board of Commissioners.

Beth Rowett, is the executive director of CalHEN Operations. Beth is a proven executive of over thirty years’ experience, most recently as Vice President Quality at Children’s Hospital of Orange County. Beth has held faculty appointments at UCSB and USC. Beth has served on the boards of the California Council for Excellence, Board of Examiners for Baldrige-based California Awards for Performance Excellence, and as senior examiner for The Malcolm Baldrige National Quality Award. She is past president of the California Association for Healthcare Quality and a Certified Professional in Healthcare Quality.

Amber Kemp, vice president, Health Care Coverage, California Hospital Association (Moderator), provides advocacy and support regarding government-funded programs and other health care coverage policy issues affecting California hospitals and health systems. Previously, Ms. Kemp worked at the Department of Health Care Services (DHCS) where she managed the implementation of the Medi-Cal Section 1115 Waiver for the Delivery System Reform Incentive Payments (DSRIP) for designated and non-designated public hospitals. Prior to joining DHCS, she served as a special assistant to state Board of Equalization member Betty Yee.